脑动脉狭窄支架置入患者应用计划性排尿功能训练影响术后血压等因素探讨.docVIP

脑动脉狭窄支架置入患者应用计划性排尿功能训练影响术后血压等因素探讨 　　[摘要] 目的 ?Ρ妊芯考苹?性排尿功能训练对脑动脉狭窄支架置入患者术后血压、尿潴留、尿路感染及二次导尿的影 　　响。方法 该研究方便选取2014年1―12月收治于该院神经外科病房脑动脉狭窄并择期行动脉支架置入的患者共80例，随机1∶1分为实验组和对照组，全部患者接受神经外科介入治疗常规护理和健康宣教。实验组患者采用接受该研究团队制定的计划性排尿功能训练，并在家属及医生协助下完成相关锻炼。术后麻醉苏醒6 h后拔除导尿管，记录患者首次排尿时相关临床数据及住院期间尿路疾病发生率。结果 与对照组相比，实验组患者手术当日焦虑指数为（59.8±5.55）分，明显低于对照组，组间差异有统计学意义（P0.05）；计划性排尿功能训练有助于降低患者首次排尿的排尿时间（148.3±25.70）s、血压[收缩压（122.6±11.92）mmHg，舒张压（86.8±9.02）mmHg]、心率（89.1±6.24）次/min及呼吸频率（14.3±4.37）次/min，与对照组相比，明显更优，组间差异有统计学意义（P0.05）；住院期间计划性排尿功能训练明显降低实验组患者尿路感染、尿潴留和二次导尿的发生率，同时实验组患者较对照组患者住院时长较短，治疗满意度较高，组间差异有统计学意义（P0.05）。 结论 术前对脑动脉狭窄支架置入患者应用计划性排尿功能训练，有助于减轻患者术后因排尿引发的生理性血压增高，可有效降低尿路系统感染和尿潴留风险，提高临床周转率和治疗满意度。该训练方法具有重要的临床推广应用价值。 　　[关键词] 脑动脉狭窄支架置入；计划性排尿功能训练；生理性血压升高；尿路感染；治疗满意度 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）08（a）-0001-05 　　[Abstracts] Objective This paper tries to analyze the effect of planned urination function training on blood pressure， urinary retention， urinary tract infection and secondary catheterization after stenting for patients with cerebral artery stenosis. Methods Convenient selection a total of 80 patients from January to December 2014 in this hospital with cerebral artery stenosis undergoing stent implantation were randomly divided into the experimental group and control group. All the patients received routine care and health education. The patients in the experimental group received the planned urination training and completed the related training with the help of their families and doctors. The catheter was removed after 6 hours of anesthesia recovery， and the related clinical data and the incidence of urinary tract diseases during the first micturition were recorded. Results Compared with the control group， the anxiety index of the experimental group was （59.8±5.55） points lower than the control group， and the difference between the two groups was statistically significant （P 　　[Key words] Cerebral artery stenosis stent implantation； Planned urination function training； Physiologica